Reconstructing defects following radical parotidectomy using superficial circumflex Iliac perforator flaps.

BACKGROUND: The restoration of tissue defects following radical parotidectomy poses significant challenges due to the complex anatomy and functional requirements of the region. The superficial circumflex iliac perforator (SCIP) flap presents several advantages, including its adjustable volume, the potential for chimerism with bone, and the ability to conceal scarring. This study was conducted to assess the effectiveness and safety of SCIP flaps in reconstructing defects after radical parotidectomy. METHODS: This retrospective study included patients who underwent reconstruction of defects after radical parotidectomy using SCIP flaps between June 2023 and June 2024. Facial nerve reanimation was achieved through the use of cervical sensory nerve grafts. Detailed records were maintained on patient demographics, flap dimensions, pedicle length, duration of surgery, complications at the donor or recipient sites, and the survival status of the flaps. RESULTS: The study included 10 patients (4 males, 6 females) with a median age of 45.5 years. Four had T3 tumors and six had T4 tumors. Facial nerve reanimation was performed in 9 patients. Flap sizes ranged from 4 cmx8 cm to 6 cmx10 cm, and pedicle lengths from 4 cm to 9 cm. Duration of operation ranged from 210 to 450 min. Six patients underwent postoperative radiotherapy. All flaps survived without radiation-related recipient complications or donor site complications. CONCLUSION: The use of SCIP flaps has been demonstrated to be a viable and safe option for the reconstruction of defects resulting from radical parotidectomy when combined with nerve grafting techniques.